BACKGROUND OF THE INVENTION
1. Field of the Invention
[0001] The present invention relates to blood collection sets for safe and convenient handling
of needles. More particularly, the present invention relates to a blood collection
set including a needle assembly having a forward moving safety shield for protection
from a used needle tip.
2. Description of Related Art
[0002] Disposable medical devices having piercing elements are typically used for administering
a medication or withdrawing a fluid, such as blood collecting needles, fluid handling
needles and assemblies thereof. Current medical practice requires that the fluid containers
and needle assemblies used in such systems be inexpensive and readily disposable.
Consequently, existing blood collection systems, for example, typically employ some
form of durable, reusable holder on which detachable and disposable needles and fluid
collection tubes may be mounted. A blood collection system of this nature can be assembled
prior to use and then disassembled after usage. Thus, these blood collection systems
allow repeated use of the relatively expensive holder upon replacement of the relatively
inexpensive needle and/or fluid collection tube. In addition to reducing the cost
of collecting blood specimens, these blood collection systems also help minimize the
production of hazardous medical waste.
[0003] A blood collection set or intravenous (IV) infusion set typically includes a needle
cannula having a proximal end, a pointed distal end and a lumen extending therebetween.
The proximal end of the needle cannula is securely mounted in a plastic hub with a
central passage that communicates with the lumen through the needle cannula. A thin
flexible thermoplastic tube is connected to the hub and communicates with the lumen
of the needle cannula. The end of the plastic tube remote from the needle cannula
may include a fixture for connecting the needle cannula to a blood collection tube
or some other receptacle. The specific construction of the fixture will depend upon
the characteristics of the receptacle to which the fixture will be connected.
[0004] In order to reduce the risk of incurring an accidental needle-stick wound, protection
of used needle tips becomes important. With concern about infection and transmission
of diseases, methods and devices to enclose the used disposable needle have become
very important and in great demand. For example, some needle assemblies commonly employ
a safety shield that can be moved into shielding engagement with a used needle cannula
without risking an accidental needle stick.
[0005] U.S. Patent Nos. 5,085,639, 5,088,982 and 5,154,699 disclose safety winged needle
devices for use with blood collection sets or infusion sets. The safety needle devices
of these patents include an inner tube and an outer tube having cooperating surfaces
in contact with each other, with the cooperating surfaces having mating grooves and
ramps. By applying a force in opposing directions on the inner and outer tubes, the
outer tube is forcibly moved along the ramps and into engagement with the grooves
of the inner tube, thereby moving the outer tube, and therefore the outer shield,
into a shielding position and locking the shield in place about the needle tip. The
cooperating surfaces of such outer and inner tubes, however, provide a frictional
engagement which requires much force to overcome. Moreover, maintaining an appropriate
grip on the needle device to forcibly move the outer and inner tubes apart can be
difficult due to the profile of the needle device.
[0006] U.S. Patent No. 6,165,157 discloses a needle guard which includes a "thumb-knob"
or protrusion on the outer guard to assist in manipulation of the outer guard by providing
an abutment against which the thumb of the user can push in order to pull the needle
and needle mount into the outer guard using only one hand. Retraction of the needle
in this manner, however, requires the user to grip the flexible tube in the user's
palm, which does not provide an effective gripping surface for maintaining the needle
device in place during retraction, and may cause the flexible tube to be separated
from the needle device during retraction.
[0007] Accordingly, a need exists for a needle assembly for use with a blood collection
set which achieves secure and effective shielding of a used needle tip and which is
simple and inexpensive to manufacture and easy to operate.
SUMMARY OF THE INVENTION
[0008] The present invention is directed to a shieldable blood collection set as well as
a needle assembly for use in a blood collection set. The needle assembly includes
a hub including an elongated tubular body having an outer surface, a proximal end,
a distal end and a passageway extending therethrough. The hub further includes a first
tab extending outwardly from the proximal end of the tubular body for engagement with
a user's finger. The distal end of the hub supports a needle cannula, which includes
a puncture tip at a distal end thereof. A hollow outer shield co-axially surrounds
the distal end of the tubular body of the hub. The outer shield includes a housing
having a proximal end, a distal end and a passageway extending therethrough, as well
as a second tab extending outwardly from the housing for engagement with a user's
thumb. The first tab extends from the tubular body of the hub at a position which
is exposed from the proximal end of the outer shield, and the housing of the outer
shield has an inner surface which is in cooperating engagement with the outer surface
of the hub.
[0009] The first tab and the second tab are configured such that opposing forces applied
against the first tab and the second tab cause the outer shield to move toward the
distal end of the needle cannula from a retracted position in which the puncture tip
of the needle cannula is exposed, to an extended position in which the outer shield
covers the puncture tip of the needle cannula.
[0010] Desirably, the first tab extends from a bottom portion of the hub and the second
tab extends from a top portion of the housing of the outer shield at a position adjacent
the first tab. As such, the first and second tabs are configured for engagement with
a user's finger and thumb, respectively, for activation and movement of the outer
shield from the retracted position to the activated position.
[0011] In particularly desirable embodiments, the outer surface of the hub includes a series
of grooves and ramps and the inner surface of the outer shield cooperates with the
outer surface of the hub. Such corresponding grooves and ramps provide for frictional
engagement between the outer shield and the hub, thereby preventing the outer shield
from movement between the retracted position and the activated position until a force
is exerted thereon.
[0012] The present invention further includes a blood collection set including a needle
assembly as described, a fixture for connecting the blood collection set to a receptacle,
and a flexible tube extending between the blood collection set and the needle assembly
at the proximal end of the hub.
DESCRIPTION OF THE DRAWINGS
[0013] FIG. 1 is a perspective view of a blood collection set in accordance with the present
invention;
[0014] FIG. 2 is a top plan view of a hub adapted for receiving a needle cannula;
[0015] FIG. 3 is a side plan view of a hub including a needle cannula;
[0016] FIG. 4 is a side view of the second groove section of the hub shown in FIG. 2;
[0017] FIG. 5 is a side view of the proximal end of the hub shown in FIG. 2;
[0018] FIG. 6 is a side view of the first groove section at the distal end of the hub shown
in FIG. 2;
[0019] FIG. 7 is a plan view of a winged outer shield in accordance with the present invention;
[0020] FIG. 8 is a side plan view of the outer shield shown in FIG. 7;
[0021] FIG. 9 is an enlarged plan view of the proximal end of the outer shield shown in
FIG. 7;
[0022] FIG. 10 is a side plan view of the blood collection set shown in FIG. 1 showing the
outer shield in a retracted position; and
[0023] FIG. 11 is a side plan view of the blood collection set shown in FIG. 1 showing the
outer shield in an extended position.
DETAILED DESCRIPTION
[0024] Referring to the drawings in which like reference characters refer to like parts
throughout the several views thereof, FIG. 1 illustrates a blood collection set
10 in accordance with the present invention and the related features. The present invention
is generally described in terms of a blood collection set, and encompasses such a
blood collection set as well as a shieldable needle assembly for use in such a blood
collection set.
[0025] As shown in FIG. 1, blood collection set
10 includes a shieldable needle device
12, a flexible tube
14 extending from needle device
12 and a fixture
16 mounted to flexible tube
14. Shieldable needle device
12 of blood collection set
10 is shown in detail in FIGS. 2-9, and includes a needle cannula
20, a hub
30 and an outer shield
50. Fixture
16 is connectable to a receptacle (not shown) for use in blood collection procedures,
as is known in the art.
[0026] Needle cannula
20 includes a proximal end
22 and an opposing distal end
24, with lumen
26 extending through needle cannula
20 from proximal end
22 to distal end
24. Distal end
24 of needle cannula
20 is beveled to define a sharp puncture tip
28, such as an intravenous puncture tip. Puncture tip
28 is provided for insertion into a patient's blood vessel, such as a vein, and is therefore
designed to provide ease of insertion and minimal discomfort during venipuncture.
A removable protective cover (not shown) may be positioned over distal end
24 of needle cannula
20 for protection from puncture tip
28 prior to use of blood collection set
10.
[0027] Needle assembly
12 further includes hub
30. Hub
30 is a unitary structure, desirably molded from a thermoplastic material. Hub
30 is a generally elongated tubular body having a proximal end
32, a distal end
34, an outer surface
36 and an internal passageway
38 extending therethrough from proximal end
32 to distal end
34. Needle cannula
20 is positioned within and is supported by internal passageway
38 of hub
30, with distal end
24 of needle cannula
20 extending from distal end
34 of hub
30. Desirably, needle cannula
20 and hub
30 are separate parts which are fixedly attached and secured through an appropriate
medical grade adhesive or the like. As shown in FIG. 2, hub
30 may include a restriction
293 adjacent distal end
34 thereof, against which proximal end
22 of needle cannula
20 may abut. Alternatively, as shown in FIG. 3, needle cannula
20 may extend within the entire length of hub
30 to the proximal end
32 of hub
30.
[0028] Proximal end
32 of hub
30 is adapted for connection with a flexible tube
14 of blood collection set
10. Hub
30 desirably includes ribs
46 extending circumferentially about outer surface
36 at proximal end
32 of hub
30, for coupling with flexible tube
14.
[0029] Hub
30 further includes a first tab
40 extending outwardly from outer surface
36 at a location adjacent proximal end
32 of hub
30, and at a position distal to ribs
46. More particularly, first tab
40 extends from outer surface
36 of hub
30 at a position in front of the connection between hub
30 and flexible tube
14. In this manner, flexible tab
40 is accessible to a user's finger when needle device
12 is assembled with first tube
14 in blood collection set
10.
[0030] Desirably, first tab
40 extends from outer surface
36 at a bottom portion of hub
30 adjacent proximal end
32 of hub
30. Moreover, first tab
40 desirably extends in a direction toward flexible tube
14. First tab
40 includes a ramped surface
42 having protrusions
44 thereon, for providing frictional engagement with a user's finger.
[0031] Needle assembly
12 further includes hollow outer shield
50. Outer shield
50 includes a housing
52. Housing
52 is a unitary structure, desirably molded from a thermoplastic material, including
a proximal end
54, a distal end
56 and an internal passageway
58 extending between proximal end
54 and distal end
56. The inner wall of housing
52 defines an internal surface
60 therethrough.
[0032] Outer shield
50 further includes a second tab
62 extending outwardly from a top portion of housing
52 near proximal end
54 of outer shield
50. Second tab
62 extends outwardly from outer shield
50 in a direction toward distal end
56 of outer shield
50. Second tab
62 includes a ramped surface
64 having protrusions
66 thereon for providing frictional engagement with a user's thumb.
[0033] Outer shield
50 co-axially surrounds distal end
34 of hub
30. In such a manner, proximal end
32 of hub
30 extends beyond proximal end
54 of outer shield
50 such that first tab
40 of hub
30 extends beyond proximal end
54 of outer shield
50. Moreover, internal surface
60 of outer shield
50 is in cooperating engagement with outer surface
36 of hub
30. Outer shield
50 is movable between a retracted position in which first tab
40 is exposed from proximal end
54 of outer shield
50 and puncture tip
28 is exposed from distal end
56 of outer shield
50, and an extended position in which puncture tip
28 and distal end
24 of needle cannula
20 are covered by outer shield
50.
[0034] First tab
40 and second tab
62 are configured such that opposing forces applied against first tab
40 and second tab
62 cause outer shield
50 to move toward distal end
24 of needle cannula
20 in a direction of arrow
100 from the retracted position to the extended position. Protrusions
44 and
66 on first tab
40 and second tab
62, respectively, provide frictional engagement with the user's finger and thumb, respectively,
to facilitate moving outer shield
50 from the retracted position to the extended position.
[0035] Outer shield
50 may further include a pair of stabilizers in the form of wings
68 extending laterally from outer shield
50 at opposing sides thereof, providing blood collection set
10 as a butterfly-type wing assembly. Wings
68 assist in positioning and placing needle device
12 and blood collection set
10 during a blood collection procedure and are adapted to lie flat against the surface
of a patient's skin during the blood collection procedure. As such, wings
68 may be constructed of a flexible material such that at least one, and desirably both,
of wings
68 can be bent toward each other and brought together between the fingers of the user
to assist in positioning and placing needle device
12 during venipuncture.
[0036] Housing
52 of outer shield
50 may also include a cutaway portion
70 extending through at least one side of housing
52, and desirably, extending through both sides of housing
52 at opposing lateral sides. Cutaway portion
70 defines a flexible finger
72, which is adapted for radial outward flexing during movement of outer shield
50 from the retracted position to the extended position, thereby permitting sliding
engagement of outer shield
50 with respect to hub
30 about the cooperating surfaces thereof.
[0037] In particularly desirable embodiments, outer surface
36 of hub
30 and internal surface
60 of outer shield
50 include a plurality of corresponding grooves and ramped surfaces for providing cooperating
axial movement therebetween in a predetermined manner. For example, as seen in FIGS.
2-6, outer surface
35 of hub
30 includes a front shoulder
246 of relatively large diameter. The front shoulder
246 is defined by a front face
247 and a rear abutment face
248. Directly behind the front shoulder
246 is a first groove
238 which is defined on one side by the abutment face
248 and on its other side by the termination (rear abutment face)
250 of a ramped surface
252. The ramped surface
252 starts with a diameter smaller than that of the front shoulder
246 and ramps downward away from the first groove
238. Ramp
252 terminates in a long valley
242 defined by outer surface
36 of hub
30. The valley
242 has a relatively constant diameter which is preferably substantially equal to the
diameter of the first groove
238. The valley ends in a ramp
254 which increases in diameter as it extends away from distal end
34 and towards proximal end
32 of hub
30. Ramp
254 is followed by ramp
256 which ramps down to a second groove
236. Second groove
236 is preferably of a diameter slightly larger than the diameter of valley
242, and terminates in a rear abutment surface
259. Surface
259 is also the terminating surface of a rear ramp
262, which ends at portion
264 extending along proximal end
32 of hub
30. First tab
40 and ribs
46 extend from hub
30 at portion
264 extending along proximal end
32 of hub
30.
[0038] As is best seen in FIG. 3, hub
30 may be non-cylindrical such that it will not rotate inside of outer shield
50. With such a non-cylindrical shape, front shoulder
246, and ramps
252,
254,
256, and
262 do not appear on the bottom of outer surface
36 of hub
30. Thus, it should be appreciated that when "diameter" dimensions are provided, the
term "diameter" is used in a broad sense to indicate relative cross-sectional dimensions.
[0039] Turning to FIGS. 7-9, details of the outer shield
50 in one particular embodiment are shown. Housing
52 of outer shield
50 may be nearly semicircular in cross-sectional shape, with a flat bottom surface
295. Flat bottom surface
295 is preferably a tapered surface (as seen in FIG. 8), with the thickness of the bottom
increasing according to a two and one half degree slope as it extends away from distal
end
56 of outer shield
50. As a result, when hub
50 and needle cannula
20 are positioned within outer shield
50, needle cannula
20 assumes a downward angle preferably of about two and one half degrees, and is more
easily and comfortably inserted into the vein of the patient.
[0040] Internal surface
60 of housing
52 is of a diameter slightly larger than the outer diameter of front shoulder
246 of hub
30. However, towards proximal end
54, the inner surface of housing
52 is arranged with two ramps
285 and
292, although, if desired, ramp
285 may be replaced with a non-ramped protrusion. As seen in enlarged detail in FIG.
9, ramp
285 provides housing
52 with a decreasing inner diameter as it extends toward proximal end
54 of outer shield
50. Ramp
285 terminates in an abutment face
289 which is followed by a flat surface
287 having an inner diameter approximately equal to the outer diameter of shoulder
246 of hub
30. Flat surface
287 ends with ramp
292 which also has a decreasing inner diameter as it extends toward proximal end
54 of outer shield
50. The inner diameter at the end of ramp
292, however, is of significantly smaller diameter than that of ramp
285. Internal surface
60 of outer shield
50 terminates in a flat protrusion
234 of significantly smaller diameter than the diameter of the front shoulder
246, with rear surface
299 provided at proximal end
54 of housing
52.
[0041] Blood collection set
10 can be packaged substantially in the condition shown in FIG. 1. In particular, blood
collection set
10 is provided with needle device
12 assembled and including flexible tube
14 extending from needle device
12 and connected to fixture
16. Prior to use, blood collection set
10 is removed from its package. After removing blood collection set
10 from its package, it can be assembled with other appropriate medical equipment for
use. Fixture
16 then may be connected to an appropriate receptacle, such as a non-patient needle
assembly and a needle holder, for providing fluid communication with lumen
26 through needle cannula
20.
[0042] To prepare for use of blood collection set
10, the user grasps blood collection set
10 at needle device
12 and removes the protective cover (not shown) to expose puncture tip
28 of needle cannula
20. The medical practitioner can then urge puncture tip
28 at distal end
24 of needle cannula
20 into a targeted blood vessel of a patient. During such positioning, at least one
of wings
68 can be bent inwardly toward the other with the user's fingers to facilitate positioning
and placing of needle device
12. Upon completion of the procedure, such as when all desired samples have been drawn,
needle cannula
20 is withdrawn from the patient. After removal of needle cannula
20 from the patient, activation of the safety feature of needle device
12 is accomplished.
[0043] In particular, as shown in FIG. 10, the user grasps needle device
12 in one hand, with the user's thumb engaging first tab
40 and one of the user's forefingers engaging second tab
62. Opposed forces are exerted on first tab
40 and second tab
62 through the user's thumb and forefinger. Such opposing force causes outer shield
50 to move in the direction of arrow
100 from the retracted position to the extended position. Hence, puncture tip
28 of needle cannula
20 is safely shielded by outer shield
50 in the extended position as shown in FIG. 11. Blood collection set
10 may then be appropriately discarded.
[0044] In embodiments where outer surface
36 of hub
30 and internal surface
60 of outer shield
50 include a plurality of corresponding grooves and surfaces for cooperating engagement
as described hereinabove, an initial force is required to overcome resistance of protrusion
234 sliding over ramp
256. In order to assist in such movement, flexible fingers
72 may flex radially outwardly from housing
52 of outer shield
50, thereby decreasing the resistance and permitting axial movement of outer shield
50 along hub
30. Once protrusion
234 slides over ramp
256, little force is needed to continue sliding outer shield
50 over valley
242 of hub
30. Additional resistance is encountered when ramp
252 of hub
30 encounters ramp
285 of housing
52, as well as when ramp
285 encounters front shoulder
246. With the application of differential force on first and second tabs
40 and
62, respectively, the design of needle device
12 including the cooperating surface assists in proper movement between the retracted
position and the extended position. In particular, radial flexing of flexible fingers
72, the ramped nature of ramp
285 and the rounding of the edge of shoulder
246, permit ramp
285 to be slid over front shoulder
246 until it snaps over front shoulder
246 with abutment face
289 of outer shield
50 in contact with abutment surface
247 of front shoulder
246 of hub
30. At the same time, protrusion
234 sits in first groove
238 with rear surface
299 of outer shield
50 abutting abutment surface
250 of hub
30, and front shoulder
246 contacts surface
287. In this locked position, puncture tip
28 of needle cannula
20 is shielded entirely and securely by outer shield
50. Two locking interactions are established (abutment face
289 against shoulder
246, and rear surface
299 against surface
250) as seen in FIG. 6 to prevent return movement of outer shield
50 to the retracted position and reexposing of needle cannula
20, while the relative sizes of protrusion
234 and shoulder
246 prevent any possibility of outer shield
50 being pulled forward off of hub
30.
[0045] While the needle assembly of the present invention has been described in terms of
one embodiment for use in connection with a blood collection system, it is further
contemplated that the needle assembly could be used with other medical procedures,
such as in conjunction with a conventional intravenous infusion set, which are well-known
in the art for use with needle assemblies.
[0046] While the present invention is satisfied by embodiments in many different forms,
there are shown in the drawings and described herein in detail, the preferred embodiments
of the invention, with the understanding that the present disclosure is to be considered
as exemplary of the principles of the invention and is not intended to limit the invention
to the embodiments illustrated. Various other embodiments will be apparent to and
readily made by those skilled in the art without departing from the scope and spirit
of the invention. The scope of the invention will be measured by the appended claims
and their equivalents.